Central Research Institute of Epidemiology of Rospotrebnadzor.
I.I. Mechnikov Scientific Research Institute of Vaccines and Serums, Ministry of Education and Science of Russia.
Vopr Virusol. 2023 Sep 21;68(4):343-354. doi: 10.36233/0507-4088-170.
Among the available scientific literature, there are no publications addressing processes of self-regulation in the parasite-host population systems with reference to chronic infections, including the infection caused by the Epstein-Barr virus (EBV infection). The aim of the study is to assess manifestations of the epidemic process of chronic EBV infection through the lens of the basic tenets of the theory of self-regulation of parasitic systems.
The study was performed using data from scientific publications selected from such database sources as Scopus, Web of Science, Cochrane Library, PubMed, CyberLeninka, RSCI, etc. The list of analyzed publications included published articles of the authors of this study, reporting the results of the retrospective epidemiological analysis of the incidence of infectious mononucleosis in Russia in general and in Moscow in particular, as well as the results of the laboratory tests regarding the detection frequency of specific antibodies to EBV proteins.
The chronic course of EBV infection promotes a close long-term interaction between the pathogen and the host. The genetic variability of the pathogen and the functions of specific and nonspecific human immune defense systems play a key role in the interaction between two heterogeneous populations and underlie their phasal self-transformation. A variety of social and natural factors (adverse chemical, physical, biological, climatic impacts, etc.) trigger the reactivation of chronic EBV infection, thus providing the continuous existence of additional sources of infection in the host population.
The analysis of the manifestations of chronic EBV infection in the context of the theory of self-regulation of parasitic systems promotes the understanding of the factors underlying the unevenness of its epidemic process. The obtained data can be adjusted for other infections having similar transmission mechanisms and virus life cycles (including other herpes infections) to map out strategies to control the epidemic process of chronic infections spread by aerosol transmission of the pathogen.
在现有的科学文献中,没有关于寄生虫-宿主种群系统中自我调节过程的出版物,这些文献涉及慢性感染,包括 Epstein-Barr 病毒(EBV 感染)感染。本研究的目的是通过寄生虫系统自我调节理论的基本原理来评估慢性 EBV 感染的流行过程的表现。
本研究使用了从 Scopus、Web of Science、Cochrane Library、PubMed、CyberLeninka、RSCI 等数据库来源中选择的科学出版物的数据。分析的出版物列表包括本研究作者发表的文章,报告了俄罗斯一般和莫斯科特别的传染性单核细胞增多症发病率的回顾性流行病学分析结果,以及检测 EBV 蛋白特异性抗体的检测频率的实验室检测结果。
EBV 感染的慢性病程促进了病原体和宿主之间的密切长期相互作用。病原体的遗传变异性和特异性和非特异性人类免疫防御系统的功能在两个异质种群的相互作用中起着关键作用,并为它们的阶段性自我转变提供了基础。各种社会和自然因素(不良的化学、物理、生物、气候影响等)触发慢性 EBV 感染的再激活,从而为宿主群体中的额外感染源的持续存在提供了条件。
从寄生虫系统自我调节理论的角度分析慢性 EBV 感染的表现,有助于理解其流行过程不均匀性的根本原因。获得的数据可以针对具有相似传播机制和病毒生命周期的其他感染进行调整(包括其他疱疹感染),以制定控制通过病原体气溶胶传播的慢性感染的流行过程的策略。